MayLee Health

Blood sugar (also called glucose) is the body’s main source of energy. It comes from carbohydrates in food and is regulated by insulin, a hormone that helps move sugar from the bloodstream into the cells. When blood sugar becomes too high for too long, it leads to prediabetes or diabetes, conditions that can damage the heart, kidneys, eyes, and nerves.

How Blood Sugar Problems Affect the Hmong Community in the United States

Hmong-speaking patients in Minnesota have the lowest rate of optimal diabetes care (34%), compared with the statewide rate of 43.6%.
Diabetes is a major cause of death among Southeast Asians in Hennepin County, accounting for 7.1% of deaths, compared with 2.6% in other populations.
Research highlights a high risk of diabetes among Hmong Americans and a need for culturally sensitive education to improve outcomes.
Surveys show that many Hmong patients identify lack of knowledge and education as the main barrier to controlling blood sugar.

Things Hmong Men and Women Commonly Do or Eat That Trigger Blood Sugar Problems

Eating large portions of white rice: White rice is a staple in many Hmong households and is often eaten in large quantities. White rice is a high?glycemic carbohydrate, meaning it raises blood sugar quickly. Large portions cause blood sugar spikes, increasing the risk of insulin resistance. Carbohydrates have the strongest effect on blood sugar compared with fats or proteins. 2. Sugary drinks — soda, sweetened tea, fruit juices Why they trigger blood sugar problems: Sugary drinks cause rapid glucose surges because they contain easily absorbed sugars. They contribute to weight gain, which increases diabetes risk. The CDC notes that sugary foods and drinks raise blood sugar more than other nutrients. 3. High?carb celebration foods — noodles, sticky rice, pastries Why they trigger blood sugar problems: Carbohydrate-heavy meals raise blood sugar significantly after eating. Eating more than usual—common at gatherings—can push blood sugar above target ranges. 4. Skipping meals This can happen due to busy schedules, work demands, or caregiving responsibilities. Why it triggers blood sugar problems: Skipping meals can cause blood sugar swings, especially for people with diabetes. It increases the risk of low blood sugar, followed by overeating that spikes levels again. 5. Chronic stress Stress is common in multigenerational households, work pressures, and cultural responsibilities. Why it triggers blood sugar problems: Stress hormones (like cortisol) raise blood sugar. The CDC identifies stress as a cause of high blood sugar. Stress can also disrupt sleep and lead to emotional eating, worsening glucose control.